| NPI | 1417737057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 22853) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2026-01-16 |